| Flexman Myers Clinic Llc | |
|
2621 Dryden Rd Ste 202 Moraine OH 45439-1600 | |
| (937) 256-5300 | |
| (937) 258-4162 |
| Full Name | Flexman Myers Clinic Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2621 Dryden Rd Ste 202, Moraine, Ohio |
| Authorized Official Name and Position | Katherine A. Myers (PRESIDENT) |
| Authorized Official Contact | 9372565300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flexman Myers Clinic Llc 2621 Dryden Rd Ste 202 Moraine OH 45439-1600 Ph: (937) 256-5300 | Flexman Myers Clinic Llc 2621 Dryden Rd Ste 202 Moraine OH 45439-1600 Ph: (937) 256-5300 |
| NPI Number | 1457754863 |
|---|---|
| Provider Enumeration Date | 09/29/2014 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Medicare PECOS PAC ID | 6305103672 |
|---|---|
| Medicare Enrollment ID | O20171122001697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457754863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6105 (Ohio) | Primary |
| Provider Name | Jerry E Flexman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649237553 PECOS PAC ID: 5193812444 Enrollment ID: I20120305000126 |
| Provider Name | Katherine Myers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942256847 PECOS PAC ID: 9931466208 Enrollment ID: I20171122001786 |
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